Tingkat Kepatuhan dan Faktor yang Mempengaruhi Penggunaan Obat Antihipertensi pada Pasien Lansia di Posyandu Lansia Desa Drono
Keywords:
adherence, hypertension, antihypertensive medication, elderly, MARS-10
Abstract
The incidence of hypertension in the elderly has increased, which is caused by several factors that affect the level of compliance. This study was conducted to determine the level of compliance and factors that influence the use of antihypertensive drugs in patients at the elderly Posyandu Drono Village. This study used purposive sampling technique and questionnaire instrument of MARS-10, correlation analysis was performed with Chi-square test. The results showed that the level of patient compliance in the elderly Posyandu of Drono Village was not compliant (71.4%). Factors that have a correlation with compliance with the use of antihypertensive drugs are educational factors, with a value of p = 0,002 and family support factors with a value of p = 0,045. Providing comprehensive counseling about the desired outcomes, potential side effects, and proper medication usage can enhance patient knowledge, ultimately improving patient adherence. Moreover, family support can promote better adherence in elderly patients.
References
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Siallagan, E., Tampubolon, L.F., Ginting, A., 2024. Relationship Between Family Support and Compliance in Taking Hypertension Medication 1, 76–82.
Sukma, A.N., Widjanarko, B., Riyanti, E., Kesehatan, B.P., Perilaku, I., Masyarakat, K., 2018. Faktor Faktor yang Berhubungan dengan Kepatuhan Pasien Hipertemsi dalam Melakukan Terapi di Puskesmas Pandaran Kota Semarang.
Thompson, K., Kulkarni, J., Sergejew, A.A., 2000. Reliability and validity of a new Medication Adherence Rating Scale (MARS) for the psychoses. Schizophr Res 42, 241–247.
Ulfa, N.M., Darmawan, R., 2021. Analysis Of The Effect Of Age On Medication Adherence With Oral Antidiabetes And Oral Antihypertension Drugs Using Pill Count Method. Journal Pharmasci (Journal of Pharmacy and Science) 6.
Wahyuni, S., Didi Kurniawan, Oswati Hasanah, 2023. Gambaran Kepatuhan Lansia dalam Mengkonsumsi Obat Antihipertensi di Wilayah Puskesmas Simpang Tiga Kota Pekanbaru. Jurnal Vokasi Keperawatan (JVK) 6, 71–76.
Walsh, C.A., Cahir, C., Tecklenborg, S., Byrne, C., Culbertson, M.A., Bennett, K.E., 2019. The association between medication non-adherence and adverse health outcomes in ageing populations: A systematic review and meta-analysis. Br J Clin Pharmacol.
Yap, A.F., Thirumoorthy, T., Kwan, Y.H., 2016. Medication adherence in the elderly. Journal of Clinical Gerontology and Geriatrics 7, 64–67.
Absor, S., Nurida, A., Levani, Y., Nerly, W.S., Fakultas, D., Universitas, K., Surabaya, M., 2018b. MEDICA ARTERIANA (MED-ART) Hubungan Tingkat Pendidikan dengan Kepatuhan Berobat Penderita TB Paru di Wilayah Kabupaten Lamongan pada Januari 2016-Desember 2018 2.
Arrang, S.T., Veronica, N., Notario, D., 2023. Hubungan Tingkat Pengetahuan dan Faktor Lainnya dengan Tingkat Kepatuhan Pasien Hipertensi di RSAL Dr. Mintohardjo Jakarta. JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) 13, 232–240.
Benetos, A., Petrovic, M., Strandberg, T., 2019. Hypertension Management in Older and Frail Older Patients. Circ Res 124, 1045–1060.
Cahir, C., Curran, C., Walsh, C., Hickey, A., Brannigan, R., Kirke, C., Williams, D.J., Bennett, K., 2023. Adverse drug reactions in an ageing PopulaTion (ADAPT) study: Prevalence and risk factors associated with adverse drug reaction-related hospital admissions in older patients. Front Pharmacol 13, 1–10.
Choudhry, N.K., Kronish, I.M., Vongpatanasin, W., Ferdinand, K.C., Pavlik, V.N., Egan, B.M., Schoenthaler, A., Miller, N.H., Hyman, D.J., 2022. Medication adherence and blood pressure control: A scientific statement from the american heart association. Hypertension 79, E1–E14.
Donato, A.J., Machin, D.R., Lesniewski, L.A., 2018. Mechanisms of dysfunction in the aging vasculature and role in age-related disease. Circ Res 123, 825–848.
Ernawati, I., Fandinata, S.S., Permatasari, S.N., 2020. Kepatuhan Konsumsi Obat Pasien Hipertensi.
Hastuti, D., Habibah, K.R., 2022. Hubungan Tingkat Pendidikan Terhadap Tingkat Pengetahuan Masyarakat Tentang Pengobatan Hipertensi Di Dusun Grojogan Wirokerten Banguntapan Bantul. PHARMANAJA: Pharmaceutical Journal UNAJA 2, 54–60.
Horvat, M., Eržen, I., Vrbnjak, D., 2024. Barriers and Facilitators to Medication Adherence among the Vulnerable Elderly: A Focus Group Study. Healthcare (Switzerland) 12.
Jin, H.K., Kim, Y.H., Rhie, S.J., 2016. Factors affecting medication adherence in elderly people. Patient Prefer Adherence 10, 2117–2125.
Kementrian Kesehatan RI, 2019. Laporan Riskesdas 2018 Nasional.
Kementrian Kesehatan RI, 2024. Laporan SKI TEMATIK 2023.
Kurniawati, N.D., Wahyuni, E.D., Toulasik, Y.A., 2019. Family support improves hypertensive patient drug compliance. Indian J Public Health Res Dev 10, 2660–2665.
Lestari, N.D., Anisa, V.N., 2022. The relationship between self efficacy and medication adherence in elderly with hypertension. Bali Medical Journal 11, 1660–1665.
Lo, S.H.S., Chau, J.P.C., Woo, J., Thompson, D.R., Choi, K.C., 2016. Adherence to antihypertensive medication in older adults with hypertension. Journal of Cardiovascular Nursing 31, 296–303.
Martin, S.S., Aday, A.W., Almarzooq, Z.I., Anderson, C.A.M., Arora, P., Avery, C.L., Baker-Smith, C.M., Barone Gibbs, B., Beaton, A.Z., Boehme, A.K., Commodore-Mensah, Y., Currie, M.E., Elkind, M.S.V., Evenson, K.R., Generoso, G., Heard, D.G., Hiremath, S., Johansen, M.C., Kalani, R., Kazi, D.S., Ko, D., Liu, J., Magnani, J.W., Michos, E.D., Mussolino, M.E., Navaneethan, S.D., Parikh, N.I., Perman, S.M., Poudel, R., Rezk-Hanna, M., Roth, G.A., Shah, N.S., St-Onge, M.P., Thacker, E.L., Tsao, C.W., Urbut, S.M., Van Spall, H.G.C., Voeks, J.H., Wang, N.Y., Wong, N.D., Wong, S.S., Yaffe, K., Palaniappan, L.P., 2024. 2024 Heart Disease and Stroke Statistics: A Report of US and Global Data from the American Heart Association, Circulation.
Mebrahtu, G., Moleki, M.M., Achila, O.O., Seyoum, Y., Adnoy, E.T., Ovberedjo, M., 2021. Antihypertensive medication adherence and associated factors: A cross-sectional analysis of patients attending a national referral hospital in asmara, eritrea. Patient Prefer Adherence 15, 2619–2632.
Nikolic, A., Djuric, S., Biocanin, V., Djordjevic, K., Ravic, M., Stojanovic, A., Milovanovic, O., Skerlic, J., Pavlovic, R., Turnic, T.N., 2023. Predictors of Non-Adherence to Medications in Hypertensive Patients, Iran J Public Health.
Özdağ, E., Firat, O., Çoban Taşkin, A., Uludağ, İ.F., Şener, U., Demirkan, K., 2023. Pharmacist’s Impact on Medication Adherence and Drug-Related Problems in Patients with Epilepsy. Turk J Pharm Sci 20, 361–367.
Quinn, T.J., McArthur, K., Ellis, G., Stott, D.J., 2011. Functional assessment in older people. BMJ (Online) 343.
Sari, D.N., Utami, W., Zairina, E., 2022. The Influence of Feeling Lonely and Received Social Support on Medication Adherence in Elderly with Hypertension. Jurnal Farmasi dan Ilmu Kefarmasian Indonesia 9, 252–261.
Siallagan, E., Tampubolon, L.F., Ginting, A., 2024. Relationship Between Family Support and Compliance in Taking Hypertension Medication 1, 76–82.
Sukma, A.N., Widjanarko, B., Riyanti, E., Kesehatan, B.P., Perilaku, I., Masyarakat, K., 2018. Faktor Faktor yang Berhubungan dengan Kepatuhan Pasien Hipertemsi dalam Melakukan Terapi di Puskesmas Pandaran Kota Semarang.
Thompson, K., Kulkarni, J., Sergejew, A.A., 2000. Reliability and validity of a new Medication Adherence Rating Scale (MARS) for the psychoses. Schizophr Res 42, 241–247.
Ulfa, N.M., Darmawan, R., 2021. Analysis Of The Effect Of Age On Medication Adherence With Oral Antidiabetes And Oral Antihypertension Drugs Using Pill Count Method. Journal Pharmasci (Journal of Pharmacy and Science) 6.
Wahyuni, S., Didi Kurniawan, Oswati Hasanah, 2023. Gambaran Kepatuhan Lansia dalam Mengkonsumsi Obat Antihipertensi di Wilayah Puskesmas Simpang Tiga Kota Pekanbaru. Jurnal Vokasi Keperawatan (JVK) 6, 71–76.
Walsh, C.A., Cahir, C., Tecklenborg, S., Byrne, C., Culbertson, M.A., Bennett, K.E., 2019. The association between medication non-adherence and adverse health outcomes in ageing populations: A systematic review and meta-analysis. Br J Clin Pharmacol.
Yap, A.F., Thirumoorthy, T., Kwan, Y.H., 2016. Medication adherence in the elderly. Journal of Clinical Gerontology and Geriatrics 7, 64–67.
